To be completed by the parent(s) on behalf of a
student planning to attend another school division to obtain a program not
available in the Portage la Prairie School Division. A minimum of one month's
notice is required in order to process an application for non-resident fee
payment.
Name of Student
___________________________________________ Birth Date ______________________
Name of Parent or Guardian
___________________________________ Telephone ______________________
Address
___________________________________________________________________________________
Postal Code _____________________ Land Description
(rural only) ___________________________________
School Last Attended ____________________________
Year _______ Grade Completed ________________
** Please attach a copy of the latest report
card.
Details of program under consideration
___________________________________________________________
Why do you prefer to enroll in the stated program
rather than a program offered in the Portage la Prairie School Division?
__________________________________________________________________________________
__________________________________________________________________________________________
In what ways does the stated program support
employment goals? _____________________________________
__________________________________________________________________________________________
Preferred location for program: School
_________________________________________________________
Address ____________________________________________
School Division _________________________
Amount of Annual Non-Resident Fee $ _____________
payable to __________________________________
Has application for enrollment been made? yes ______
no ______ Accepted? yes ________ no __________
Will your child be residing at home and travelling
to the other school division? yes ________ no __________
Will your child be residing in the other school
division? Yes ________ no ________ If yes, state with whom and
address:
___________________________________________________________________________________
In the event your child discontinues attendance
prior to the completion of the semester/year, the Portage la Prairie School
Division is to be immediately informed by the parent.
____________________________________________
__________________
